Provider Demographics
NPI:1053302539
Name:PAIGE, ALBERT B (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:B
Last Name:PAIGE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13436 NE 47TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1112
Mailing Address - Country:US
Mailing Address - Phone:425-885-6444
Mailing Address - Fax:425-881-7767
Practice Address - Street 1:1001 BROADWAY
Practice Address - Street 2:STE 318
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4397
Practice Address - Country:US
Practice Address - Phone:206-726-0174
Practice Address - Fax:425-881-7767
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY247103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical